코콜이 환자의 sleep splint 착용 전후의 음향학적 및 공기역학적 연구

An Aerodynamic study used aerophone II for snoring patients

  • 정세진 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김현기 (전북대학교 음성과학 연구소) ;
  • 신효근 (전북대학교 치의학전문대학원 구강악안면외과학교실)
  • Jung, Se-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Kim, Hyun-Gi (Research Institute of Speech Sciences, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 투고 : 2010.10.18
  • 심사 : 2011.04.07
  • 발행 : 2011.04.01

초록

Snoring and obstructive sleep apnea (OSA) are common sleep disordered breathing conditions. Habitual snoring is caused by a vibration of soft tissue of upper airway while breath in sleeping, and obstructive sleep apnea is caused by the repeated obstructions of airflow for a sleeping, specially airflow of pharynx. Researchers have shown that snoring is the most important symptom connected with the obstructive sleep apnea syndrome The treatment is directed toward improving the air flow by various surgical and nonsurgical methods. The current surgical procedures used are uvulopalatopharyngoplasty(UPPP), orthognathic surgery, nasal cavity surgery. Among the nonsurgical methods there are nasal continuous positive air pressure(CPAP), pharmacologic therapy. weight loss in obese patient, oral appliance(sleep splint). Sleep splint brings the mandible forward in order to increase upper airway volume and prevents total upper airway collapse during sleep. However, the precise mechanism of action is not yet completely understood, especially aerodynamic factor. The aim of this study evaluated the effect of conservative treatment of snoring and OSAS by sleep splint through measured aerodynamic change by an aerophone II. We measured a airflow, sound pressure level, duration, mean power from overall airflow by aerophone II mask. The results indicated that on a positive correlation between a decrease in maximum airflow rate and a decrease in maximum sound pressure level, on a negative correlation between a decrease in maximum airflow rate and a increase in duration.

키워드

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